| NPI | 1720199573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EARNEST RIVERS President/Owner 276-565-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002199) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |